{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:58:53Z","timestamp":1790823533491,"version":"4.1.0"},"reference-count":72,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the association between occupational stress and mental health\u2013related quality of life (HRQoL) among nurses in the Northern Border Region of Saudi Arabia and to determine whether this relationship varies across professional and clinical subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional, correlational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A stratified sample of 257 registered nurses and nurse managers was recruited from three hospitals in the Northern Border of Saudi Arabia (53.2% female, 86.0% staff nurses and 44.0% with &gt;\u200910\u2009years of experience). Occupational stress was assessed using a culturally adapted and forward\u2010backward translated version of the Nursing Stress Scale (NSS), which measures seven stress domains. Mental HRQoL was evaluated using the Mental Component Summary (MCS) of the 12\u2010item Short Form Health Survey (SF\u201012). Data were analysed using descriptive statistics, independent samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, one\u2010way analysis of variance with post hoc comparisons, Pearson correlations and four\u2010step hierarchical linear regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean MCS score was 52.01 (SD\u2009=\u20098.12), slightly above the SF\u201012 normative mean of 50. All seven occupational stress domains were significantly and negatively associated with MCS scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.22 to \u22120.33, all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Workload was the highest\u2010rated stressor (\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u20092.91, SD\u2009=\u20090.65), whereas nurse\u2013physician conflict demonstrated the strongest inverse correlation with mental HRQoL (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.33). The final hierarchical regression model explained 34% of the variance in MCS scores (\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.34, adjusted\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.30). Occupational stress domains contributed an additional 15% of explained variance beyond demographic and professional characteristics (\u0394\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.15,\n                      <jats:italic>F<\/jats:italic>\n                      \u2010change [7, 244]\u2009=\u20097.85,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No significant interaction effects were identified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70869","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:44:20Z","timestamp":1790822660000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Occupational Stressors and Mental Health\u2013Related Quality of Life Among Hospital Nurses in Northern Border Region Saudi Arabia: A Multi\u2010Site Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6450-5097","authenticated-orcid":false,"given":"Fathia Ahmed","family":"Mersal","sequence":"first","affiliation":[{"name":"Faculty of Nursing Northern Border University  Arar Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2744-8465","authenticated-orcid":false,"given":"Ibrahim Naif","family":"Alenezi","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Northern Border University  Arar Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fathia Gamal","family":"Al Said","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Northern Border University  Arar Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4266-4588","authenticated-orcid":false,"given":"Faisal Khalaf","family":"Alanazi","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Northern Border University  Arar Saudi Arabia"},{"name":"School of Nursing, Midwifery &amp; Paramedicine Australian Catholic University  North Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasmia Abd El Sattar","family":"Ali","sequence":"additional","affiliation":[{"name":"Public Health Nursing Department College of Nursing, Northern Border University  Arar Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6331-3552","authenticated-orcid":false,"given":"Majid Ali","family":"Alotni","sequence":"additional","affiliation":[{"name":"Department of Medical\u2010Surgical Nursing College of Nursing, Qassim University  Buraydah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6270-2951","authenticated-orcid":false,"given":"Basema","family":"Alharbi","sequence":"additional","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing College of Nursing, Qassim University  Buraydah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6425-6724","authenticated-orcid":false,"given":"Ebtesam A.","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Public Health Department College of Health Sciences, Saudi Electronic University  Riyadh Saudi Arabia"},{"name":"Family and Community Health Nursing Department, Faculty of Nursing Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733016643863"},{"key":"e_1_2_14_3_1","volume-title":"Multiple Regression: Testing and Interpreting Interactions","author":"Aiken L. 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